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The Principles of Clinical Cytogenetics - Extra Materials - Springer

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Human Chromosome Nomenclature 31<br />

Fig. 3. Examples <strong>of</strong> metacentric, submetacentric, and acrocentric chromosomes.<br />

Table 2<br />

Frequently Used Banding Methods and <strong>The</strong>ir Abbreviations<br />

Banding Method Abbreviation<br />

Q-bands Q<br />

Q-bands by quinacrine derivatives<br />

and fluorescence microscopy<br />

QFQ<br />

G-bands G<br />

G-bands by trypsin and Giemsa GTG<br />

C-bands C<br />

C-bands by barium hydroxide and Giemsa CBG<br />

R-bands R<br />

R-bands by acridine orange RFA<br />

and fluorescence microscopy<br />

R-bands by BrdU and Giemsa RBG<br />

Telomere bands or T-bands T<br />

(1971) introduced a numbering system helpful in designating specific bands and regions. New terminology<br />

and abbreviations were introduced to help explain chromosome abnormalities in a more meaningful<br />

way. Other conferences then followed, with the latest held in Memphis in 1994. Descriptions<br />

<strong>of</strong> human chromosomes and their abnormalities utilize a series <strong>of</strong> symbols and abbreviations. A<br />

partial list <strong>of</strong> recommended symbols and abbreviations in ISCN 2005 appear in Table 3.<br />

<strong>The</strong> centromere “cen” divides a chromosome into a short or “p” arm (from the French petit) and a<br />

long or “q” arm. For descriptive purposes, the centromere is composed <strong>of</strong> two portions. <strong>The</strong> portion<br />

<strong>of</strong> the centromere lying between its middle and the first band on the short arm is designated as “p10.”<br />

Similarly, the portion <strong>of</strong> the centromere lying between its middle and the first band on the long arm is<br />

designated as “q10.” <strong>The</strong> designations p10 and q10 allow us to describe accurately the nature and<br />

organization <strong>of</strong> centromeres in isochromosomes, whole-arm translocations, and Robertsonian translocations<br />

(see below). Each arm ends in a terminus (“ter,” thus “pter” and “qter”), where telomeres<br />

are present to prevent the chromosomes from having “sticky ends.”<br />

Each chromosome arm is divided into regions. This division is based on certain landmarks present<br />

on each chromosome. By definition, a landmark is “a consistent and distinct morphologic area <strong>of</strong> a<br />

chromosome that aids in the identification <strong>of</strong> that chromosome.” A region is an area that lies between<br />

two landmarks. <strong>The</strong> two regions immediately adjacent to the centromere are designated as “1” (p1<br />

and q1), the next distal as “2,” and so on. Regions are divided into bands and the bands into subbands<br />

(see Fig. 5). A band is that part <strong>of</strong> a chromosome that is distinctly different from the adjacent area by<br />

virtue <strong>of</strong> being lighter or darker in staining intensity. Sequential numbering <strong>of</strong> chromosome arms and<br />

bands helps make the designation <strong>of</strong> specific bands easy. For example, the terminal band on the long

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